Prominent sensorimotor neuropathy due to SACS mutations revealed by whole-exome sequencing.

Angela Pyle, Helen Griffin, Patrick Yu-Wai-Man, Jennifer Duff, Gail Eglon, Stuart Pickering-Brown, Mauro Santibanez-Korev, Rita Horvath, Patrick F Chinnery
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引用次数: 30

Abstract

Objective: To determine the genetic basis of an unexplained multisystem neurological disorder affecting 2 siblings.

Design: Case reports and whole-exome DNA sequencing.

Setting: Neurogenetics clinic, Institute of Genetic Medicine, Newcastle upon Tyne, England.

Patients: Two adult siblings with a sensorimotor neuropathy, ataxia, and spasticity.

Main outcome measures: Clinical, neurophysiological, imaging, and genetic data.

Results: Novel compound heterozygous frameshift mutations were detected in the SACS gene of both siblings, predicted to drastically truncate the sacsin protein.

Conclusions: Whole-exome sequencing rapidly defined the genetic cause of the disorder, expanding the clinical phenotype associated with SACS mutations to include a severe sensorimotor neuropathy.

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全外显子组测序揭示了SACS突变引起的突出感觉运动神经病变。
目的:确定影响2个兄弟姐妹的不明原因多系统神经系统疾病的遗传基础。设计:病例报告和全外显子组DNA测序。背景:英国泰恩河畔纽卡斯尔遗传医学研究所神经遗传学诊所。患者:两名成年兄弟姐妹,患有感觉运动神经病变、共济失调和痉挛。主要结果指标:临床、神经生理学、影像学和遗传学数据。结果:在两个兄弟姐妹的SACS基因中都检测到了新的复合杂合移码突变,预测会显著截短sacsin蛋白。结论:全外显子组测序快速确定了该疾病的遗传原因,扩大了与SACS突变相关的临床表型,包括严重的感觉运动神经病变。
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Archives of neurology
Archives of neurology 医学-临床神经学
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